Organization
UNITED IMMUNOLOGY AND ALLERGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN CARTER (OWNER, AUTHORIZED OFFICIAL)
(406) 883-4325
Entity
Organization
Contact information
Practice address
420 1ST ST E, POLSON, MT 59860-2106
(406) 883-4325
Mailing address
420 1ST ST E, POLSON, MT 59860-2106
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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